Individual provider Active NPI

Christopher Dennis Thew, ATC

  • Athletic Trainer
  • Yakima, WA
National Provider Identifier
1447685011
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
A160035160 Issued in WA
Practice address
702 S 40TH Ave
Yakima, WA 98908-3331
Phone
(509) 607-0911
NPI assigned
Sep 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X A160035160 WA Primary

Addresses

Primary practice location

702 S 40TH Ave
Yakima, WA 98908-3331

Mailing address

7401 W Lincoln Ave
Yakima, WA 98908-1284
Phone (509) 607-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A160035160WAMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1447685011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 W LINCOLN AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989081284",
            "telephone_number": "509-607-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S 40TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083331",
            "telephone_number": "509-607-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEW",
        "first_name": "CHRISTOPHER",
        "middle_name": "DENNIS",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A160035160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.